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Radiologic-Pathologic correlation


Giant renal angiomyolipoma: unusual cause of huge abdominal mass.

Rajesh TanejaDig Vijay Singh
Departments of Urology, Indraprastha Apollo Hospitals, New Delhi, Mohandai Oswal Hospital, Ludhiana, Punjab, India
Date of Submission: 11-Aug-2013, Date of Acceptance: 20-Oct-2013, Date of Web Publication: 28-Nov-2013.
Corresponding Author:
Corresponding Author

Dig Vijay Singh

Department of Urology, Mohandai Oswal Hospital, Ludhiana ‑ 141 010, Punjab, India.
E-mail: digvijayaiims@yahoo.com

Corresponding Author:
Corresponding Author

Dig Vijay Singh

Department of Urology, Mohandai Oswal Hospital, Ludhiana ‑ 141 010, Punjab, India.
E-mail: digvijayaiims@yahoo.com

DOI: 10.4103/2156-7514.122326 Facebook Twitter Google Linkedin

ABSTRACT


We present the imaging and histopathological characteristics of a giant renal angiomyolipoma (AML) in a 49-year-old female patient, who presented with bloating sensation in the abdomen and a steadily increasing abdominal girth for about 3 years. Contrast enhanced computed tomography (CECT) scan films of abdomen revealed that a large fat containing tumor had replaced the left kidney while displacing the rest of the abdominal contents toward the other side of the midline. Intraoperatively the left kidney was completely replaced by a fat containing tumor. The recovered surgical specimen measured 39 cm × 25 cm × 9 cm and weighed 7500 g. Histopathological investigation with immuno-histochemical staining of the specimen with hydroxy beta-methylbutyric acid-45 confirmed this lesion as AML. CECT scan of the head did not show any lesion suggestive of tuberous sclerosis. The giant tumor of the present case is the heaviest AML in both syndromic and sporadic categories and largest by dimensions as sporadic AML ever reported in the literature.
Keywords: Angiomyolipoma, Giant Kidney Tumor, Heaviest Renal Angiomyolipoma, Sporadic Tuberous Sclerosis

Cited in 3 Documents

  1. Jacob Albersheim-Carter, Molly Klein, Paari Murugan and Christopher J. Weight (2016) Partial Nephrectomy for a Massive Sporadic Renal Angiomyolipoma: Case Report and Review of the Literature. Case Reports in Urology 2016:1. doi: 10.1155/2016/3420741
  2. Kewal A. Mistry, Dinesh Sood, Rohit Bhoil, Veenal Chadha, Ajay K. Ahluwalia, Saurabh Sood and Pokhraj P. Suthar (2015) A Classic Case of Tuberous Sclerosis with Multisystem Involvement Including Giant Bilateral Renal Angiomyolipomas Presenting as Massive Hematuria. Pol J Radiol 80:435. doi: 10.12659/PJR.894741
  3. Charalampos Fragkoulis, Konstantinos Stasinopoulos, Georgios Theocharis, Georgios Stathouros, Georgios Papadopoulos, Akrivi Kostopoulou, Mariana Bethany-Michaelides and Konstantinos Ntoumas (2018) A rare case of giant renal angiomyolipoma in a woman with tuberous sclerosis. Urology Case Reports 20:41. doi: 10.1016/j.eucr.2018.06.006

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